NPI | 1992047401 |
---|---|
Former Name | SHANNON BROWN-SCHAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A-114718) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A114718) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2023-03-12 |